Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Peter Severino, LCSW-R

Individual provider Clinical Social Worker · NPI 1952491961

Mr. Peter Severino, LCSW-R is a Clinical Social Worker in New York, New York. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

80 E 11th St Ste 618
New York, NY 10003 Not confirmed with CMS for 12 years — call before visiting
Phone: (212) 533-2130
Fax: (212) 533-2130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 73-069282 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 069282 (NY)

Record details

NPI number1952491961
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedOctober 13, 2006
Last updated in NPPESJanuary 28, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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